Guo Sen, Hu Xiao-Ying, Gao Yan-Ling
Yueyang Clinic Medical College, Shanghai University of TCM, Shanghai 201203, China.
Shanghai Hongkou District Jiangwan Hospital, Shanghai 200434.
Zhongguo Zhen Jiu. 2021 Apr 12;41(4):429-32. doi: 10.13703/j.0255-2930.20200225-0004.
Professor 's clinical experience in treatment of obese polycystic ovary syndrome (PCOS) accompained with infertility with acupuncture and moxibustion in view of spleen and kidney functions is summarized. Professor believes PCOS is commonly seen in obese women of childbearing age, accompained with infertility, with kidney and spleen involved in terms of the disorder location. In pathogenesis, spleen and kidney deficiency is the primary and obstruction of phlegm (damp) in collateral is the secondary. According to clinical differentiation, the main acupoints are selected from the thoroughfare and conception vessels, the kidney meridian and the spleen/stomach meridian and the corresponding acupoint prescriptions and techniques are used individually, aiming at tonifying kidney, strengthening spleen, benefiting , resolving phlegm, eliminating damp, resolving stasis, activating blood circulating and regulating menstruation for successful pregnancy. Professor proposes the theory as "taking syndrome/pattern differentiation as the root, equal consideration of the property of acupoints and that of herbal medicine, similarity of acupoint selection with herbal prescription, as well as determination of reinforcing and reducing techniques of acupuncture and moxibustion". It fully embodies the idea of TCM as "syndrome/pattern differentiation and treatment determination" and displays the curative effect of acupoints and the techniques of acupuncture and moxibustion, being worthy of clinical reference.
总结了教授从脾肾论治肥胖型多囊卵巢综合征（PCOS）伴不孕症的临床经验。教授认为，PCOS常见于育龄肥胖女性，伴有不孕症，病位涉及肾和脾。发病机制上，脾肾亏虚为本，痰（湿）瘀阻络为标。根据临床辨证，主穴选取任脉、冲脉、肾经及脾胃经，采用相应的穴位处方及手法，以补肾健脾、化痰祛湿、化瘀通络、调经助孕。教授提出“以辨证论治为本，兼顾穴性与药性，穴方与药方相似，针灸补泻手法确定”的理论。充分体现了中医“辨证论治”思想，展示了穴位及针灸手法的疗效，值得临床借鉴。
